NPI | 1578042099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW16551) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-08-07 |
Last Update Date | 2022-01-17 |