| NPI | 1568871010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-149616) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 073797) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2016-01-19 |