| NPI | 1033475736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 964) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MT 1-12-10348) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2022-01-03 |