| NPI | 1588151757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-53789) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2023-04-05 |