| NPI | 1821568619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL SW16472) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW16472) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2024-03-14 |