| NPI | 1558950287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 111511) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06476100) |
| 1041C0700X Social Worker, Clinical (Licence: NY 099116) | |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2026-03-18 |