| NPI | 1558609669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 010) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 2748) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2023-08-16 |