| NPI | 1447603881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16764) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL RBT-15-02173) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2022-08-08 |