| NPI | 1740839562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018422) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P018382) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2025-08-13 |