| NPI | 1982829123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10883) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2016-06-02 |