| NPI | 1821334335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 5252) |
| 1041C0700X Social Worker, Clinical (Licence: CA 111681) | |
| 1041C0700X Social Worker, Clinical (Licence: OR L-15864) | |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2024-12-20 |