| NPI | 1609269430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-66859) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM101941) | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2021-04-20 |