| NPI | 1487060836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020150) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA SW131586) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2022-10-17 |