| NPI | 1902061161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL SW8876) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw8876) |
| Enumeration Date | 2008-07-26 |
| Last Update Date | 2022-12-19 |