| NPI | 1992329452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW19126) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA 19-99111) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2024-12-20 |