| NPI | 1760749048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 8340-C) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2022-10-05 |