| NPI | 1538741095 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| 247200000X Technician, Other | |
| Enumeration Date | 2021-04-24 | 
| Last Update Date | 2024-02-08 |