| NPI | 1811447170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW13999) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2025-11-06 |