| NPI | 1497284772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10850069-3501) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-12-12 |