| NPI | 1881913267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1084513) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw13799) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2023-11-13 |