| NPI | 1134481575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM X-09230) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2015-09-16 |