NPI | 1649761347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118424) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 112638) |
1041C0700X Social Worker, Clinical (Licence: NV 11411-C) | |
106E00000X Assistant Behavior Analyst | |
Enumeration Date | 2018-05-29 |
Last Update Date | 2024-05-24 |