| NPI | 1851907125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101Y00000X Counselor | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2023-05-17 |