| 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 |