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 |