| NPI | 1740849033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO LSW.0009924369) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2023-12-26 |