| NPI | 1144619453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-20802) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801097594) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05764600) | |
| Enumeration Date | 2015-01-10 |
| Last Update Date | 2020-04-29 |