| NPI | 1659849271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P017029) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2022-03-10 |