| NPI | 1376808857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW74242) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2019-02-22 |