| NPI | 1801564877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 106161) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2024-07-06 |