| NPI | 1619333655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020264) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA SW133070) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2020-06-16 |