| NPI | 1083169528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 266488) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 000001065) |
| 1041C0700X Social Worker, Clinical (Licence: MA 226488) | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2024-04-30 |