| NPI | 1669014023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P017997) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2022-11-29 |