| NPI | 1497381859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW009562) |
| Additional Taxonomies | 104100000X Social Worker |
| 106S00000X Behavior Technician (Licence: OH RBT-19-91100) | |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2025-03-28 |