| NPI | 1477900314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12880) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL SW12880) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2019-04-02 |