| NPI | 1124594536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15549) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2024-04-03 |