| NPI | 1619307527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 084246) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 087838) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2022-08-02 |