| NPI | 1619208931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012816) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-23202) |
| 103K00000X Behavior Analyst (Licence: CT 1-04-1979) | |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2026-01-28 |