| NPI | 1881736221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW6577) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2022-04-11 |