| NPI | 1609546597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA S52260541) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |