| NPI | 1831157171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA60813130) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60485498) |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW01732) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-09-25 |