| NPI | 1518568641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 13438685-3502) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2023-06-13 |