| NPI | 1043694540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 11722) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-10-19 |