NPI | 1962762864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: NC RBT-17-33549) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2012-05-24 |
Last Update Date | 2017-08-09 |