| NPI | 1932426558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8621) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL SW8621) |
| 104100000X Social Worker (Licence: FL SW8621) | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2018-05-11 |