| NPI | 1962846527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW020843) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH002648) |
| 104100000X Social Worker (Licence: PA SW135863) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2019-10-29 |