| NPI | 1497086581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 33944) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 9055) |
| 103K00000X Behavior Analyst (Licence: FL 1-04-1761) | |
| 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012225) | |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2025-01-22 |