| NPI | 1093026825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904007384) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000209) |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2024-10-10 |