| NPI | 1982141305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15804) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL SW15804) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2020-12-10 |