| NPI | 1194078139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 31542.) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2022-03-08 |