| NPI | 1518309632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM M-11068) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2021-09-15 |