| NPI | 1518597830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-56700) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL 100900) |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2023-02-09 |