NPI | 1134614068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 12532-M) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 5249) |
103K00000X Behavior Analyst (Licence: 1-22-60738) | |
Enumeration Date | 2018-06-23 |
Last Update Date | 2025-08-20 |