NPI | 1376803528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 8621) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 1320) |
Enumeration Date | 2012-05-22 |
Last Update Date | 2022-07-12 |