| NPI | 1912456393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA MSW007492) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2020-09-24 |