| NPI | 1629655733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-21-161378) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2026-08-03 |