| NPI | 1982081949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 7126483-2506) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 7126483-3503) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2022-04-14 |