| NPI | 1346505377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 291451-3502) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: UT 0-16-7377) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2016-10-31 |