| NPI | 1841551447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5495) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 1-04-1594) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-09-25 |