NPI | 1548778582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 102760) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2018-01-11 |
Last Update Date | 2023-03-02 |