| NPI | 1881119824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19675) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ 1-24-78056) |
| 1041C0700X Social Worker, Clinical (Licence: NC C013073) | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2025-08-20 |