| 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 |