| 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 |