| NPI | 1609228881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-38551) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCMS101108) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2024-05-22 |