NPI | 1497374896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
106S00000X Behavior Technician | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-15 |
Last Update Date | 2024-07-11 |