| NPI | 1326650672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BH004980) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016808) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-19 |