| NPI | 1114237948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-35552) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH13010) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2024-06-14 |