| NPI | 1558922716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-80282) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2022-02-07 |