| NPI | 1194165175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06355) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker (Licence: KS 11052) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2025-01-15 |