| NPI | 1356647937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13835) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2024-01-18 |