| NPI | 1366501611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL SW14492) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW14492) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2025-09-09 |