| NPI | 1003358185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-16-23681) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14594) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |