| NPI | 1821349580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17758) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ K42041006154905) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2023-03-24 |