| NPI | 1144709213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 171W00000X Contractor | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2023-02-13 |