| NPI | 1821501511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014105) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2023-02-28 |