| NPI | 1295096113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 130195) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 001304) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2025-06-26 |