NPI | 1841762986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-23-68588) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW24884) |
Enumeration Date | 2018-12-31 |
Last Update Date | 2025-09-24 |