| NPI | 1023524709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 7546534-2506) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 7546534-6004) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2024-05-06 |