| NPI | 1780818393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW9533) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 1041C0700X Social Worker Clinical (Licence: NV 10113-C) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2023-04-21 |