| NPI | 1659879773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61475105) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2024-11-14 |