NPI | 1740521764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT SWP-LCSW-LIC-847) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MT BCBA 1-12-11885) |
Enumeration Date | 2013-03-15 |
Last Update Date | 2020-02-01 |