| NPI | 1891133831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928535) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2022-08-25 |