| NPI | 1174858013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-10-6987) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15124) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2021-06-29 |