| NPI | 1831516731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000637) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007946) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2015-08-05 |