| NPI | 1831587385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 164384) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 3979) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2018-09-04 |