| NPI | 1699315309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5885) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 5885) |
| 106S00000X Behavior Technician | |
| 1041C0700X Social Worker, Clinical (Licence: SD 7125) | |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2026-09-18 |