| NPI | 1104241934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20639) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH000071) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2020-09-15 |