| NPI | 1003252529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15463) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-07-29 |