| NPI | 1881261188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC PO21576) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 175T00000X Peer Specialist (Licence: NC 2021-8373-01) | |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2025-01-22 |