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 |