| NPI | 1063852705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 4821) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI 1-12-11848) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2022-05-23 |