| NPI | 1275812166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8368793-3502) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 8368793-2506) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2022-01-17 |