| NPI | 1902577117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-139477) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2022-02-07 |