NPI | 1346585338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13913) |
Additional Taxonomies | 103K00000X Behavior Analyst |
101Y00000X Counselor | |
Enumeration Date | 2012-12-03 |
Last Update Date | 2023-11-21 |