| NPI | 1104140235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NM M-11467) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2021-01-19 |