| NPI | 1184150856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-261) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 7114) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2025-01-17 |