| NPI | 1013564202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 3434) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-08-01 |