| NPI | 1689290959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2022-07-21 |