NPI | 1912351008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P010361) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2016-04-15 |
Last Update Date | 2016-06-02 |