| NPI | 1932939048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 103TS0200X Psychologist, School | |
| 1041S0200X Social Worker, School | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-11-06 |