| NPI | 1396043857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9466365-3501) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 101y00000x-counselor) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2018-11-09 |