| NPI | 1861854218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22007) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL H220001905280) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-12-03 |