| NPI | 1811209000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087925-1) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 075194) |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2022-11-22 |