| NPI | 1568837417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021015983) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2024-08-16 |