| NPI | 1245606979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926688) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2021-03-01 |