| NPI | 1083313407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH001516) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW139609) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-02-24 |