| NPI | 1154372308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7870) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-07-2257) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-08-24 |