| NPI | 1659986131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW23021) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-116410) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2026-05-25 |