NPI | 1508155318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: FL SW9602) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-10-7839) |
1041C0700X Social Worker, Clinical (Licence: FL SW9602) | |
Enumeration Date | 2011-04-01 |
Last Update Date | 2013-05-13 |