| NPI | 1437809415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW21237) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT22208536) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2025-01-27 |