| NPI | 1295185437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133005257) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 093453-1) |
| 103K00000X Behavior Analyst (Licence: NY 002880) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 091844-01) | |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2026-06-22 |