| NPI | 1891261921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw13449) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |