| NPI | 1013380146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13272) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05819600) | |
| 1041S0200X Social Worker, School (Licence: FL SW 13272) | |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2021-03-20 |