| NPI | 1417603010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000235) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21949) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2026-03-11 |