| NPI | 1174076293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 6192C) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker (Licence: FL SW23067) | |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2025-07-14 |