| NPI | 1629578653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL SW13331) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW13331) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW13331) | |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2025-04-09 |