NPI | 1932588639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104937) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA E2330779) |
Enumeration Date | 2015-05-27 |
Last Update Date | 2023-05-15 |