NPI | 1053500132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 074616) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-13-13404) |
Enumeration Date | 2007-10-15 |
Last Update Date | 2024-06-15 |