| NPI | 1841804747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018391) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2025-11-18 |