| NPI | 1881243368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 090404013944) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2022-05-11 |