| NPI | 1538557426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IA 105807) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 1-14-15303) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2024-01-09 |