NPI | 1447536123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 6580-C) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV 6115-S) |
Enumeration Date | 2011-10-26 |
Last Update Date | 2022-05-13 |