NPI | 1619614872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09928024) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2022-05-18 |
Last Update Date | 2022-09-14 |