| NPI | 1982388583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-25-463687) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2025-10-15 |