| NPI | 1063139871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 089806) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 089806) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |