| NPI | 1881352995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist | |
| 222Q00000X Developmental Therapist | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |