| NPI | 1417322702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM C-11852) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM M-10162) |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2025-12-01 |