| NPI | 1821515420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 12890360-3502) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2024-07-01 |