| NPI | 1740557529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8527072-3501) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2017-03-06 |