| NPI | 1275053704 |
|---|---|
| Other Name | NA NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL SW15028) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-02-14 |