| NPI | 1730636150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022913) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-11-21 |