| NPI | 1629113337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-09-5743) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005035) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2009-11-13 |