NPI | 1619208931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012816) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 1-04-1979) |
Enumeration Date | 2010-01-26 |
Last Update Date | 2022-07-28 |