| NPI | 1134597396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL SW12614) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW12614) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2017-03-29 |