| NPI | 1518546266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR A14668) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 12256132-3506) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2024-03-15 |