| NPI | 1962655662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL ISW3986) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-02-0421) |
| 104100000X Social Worker (Licence: FL ISW3986) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2021-07-22 |