| NPI | 1154778058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-49519) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 13878) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2025-07-03 |