| NPI | 1114512019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-22-59073) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst (Licence: MD LBA1383) | |
| 103K00000X Behavior Analyst (Licence: FL 1-22-59073) | |
| 103K00000X Behavior Analyst (Licence: VA 0133002703) | |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2024-02-02 |