NPI | 1568002046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: ND 6562) |
Additional Taxonomies | 104100000X Social Worker (Licence: MN 30170) |
106S00000X Behavior Technician | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2020-01-13 |
Last Update Date | 2024-04-24 |