| NPI | 1912404260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 14762) |
| Additional Taxonomies | 104100000X Social Worker |
| 171M00000X Case Manager/Care Coordinator | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2021-11-23 |