| NPI | 1689283079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW21183) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2024-11-01 |