| NPI | 1013264712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1096576) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 006375) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2019-12-17 |