| NPI | 1104166396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-17-25920) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH18819) |
| 103K00000X Behavior Analyst (Licence: CA 1-17-25920) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2022-04-25 |