| NPI | 1962087213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO 0009927148) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-21-160125) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2026-09-08 |