| NPI | 1891143970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14486) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL SW14486) |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2018-07-13 |