| NPI | 1902519820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| 106S00000X Behavior Technician | |
| 376J00000X Homemaker | |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |