| NPI | 1982246922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2017035748) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2021-11-09 |