| NPI | 1184161168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010592) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101Y00000X Counselor | |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2020-07-23 |