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 |