| NPI | 1104057660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7937) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-01-0238) |
| Enumeration Date | 2009-08-01 |
| Last Update Date | 2010-03-11 |