NPI | 1427305762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12242) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106E00000X Assistant Behavior Analyst | |
Enumeration Date | 2012-08-06 |
Last Update Date | 2017-07-11 |