| NPI | 1740674134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1400052-TRNE) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1767-MH-B1) |
| 1041C0700X Social Worker Clinical (Licence: MA 122140) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2023-05-03 |