NPI | 1942790803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929801) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-05-16 |
Last Update Date | 2023-10-10 |