| NPI | 1023565728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 8306) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2018-03-29 |