| NPI | 1821447269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-11538) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-10-12 |