| NPI | 1922492339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123032) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2025-12-03 |