| NPI | 1154542918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-15-19388) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9864) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2016-08-03 |