| NPI | 1356655237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 20634) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA 1092009193) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2020-06-18 |