| NPI | 1124428735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000124) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 055093-1) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2022-04-05 |