| NPI | 1821660598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2021025084) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2020042030) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |