| NPI | 1043756000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA594) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP8694) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2023-09-12 |