| NPI | 1669779351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 8294202-3501) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 8294202-2506) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2022-04-11 |