| NPI | 1861815540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7606069-3501) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-13-13621) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2022-12-28 |