| NPI | 1952675779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 007424) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2322) |
| 103K00000X Behavior Analyst (Licence: CT 0029) | |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2022-05-25 |