| NPI | 1821652827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P020061) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2026-04-14 |