| NPI | 1205200375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006069) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 006069) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2019-11-26 |