| NPI | 1972887081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 447) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 4525) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2024-08-15 |