| NPI | 1467150748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NV 12103-M) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-23-256495) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2025-02-11 |