| NPI | 1487279915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO LSW.0009925033) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD 30598) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2025-06-12 |