| NPI | 1871047720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 11833409) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW005955) |
| 104100000X Social Worker (Licence: GA MSW006385) | |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2019-01-29 |