| 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 |