| NPI | 1578937082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P021399) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2024-10-29 |