| NPI | 1922526201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-21 |