| NPI | 1184876096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7979) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2021-09-09 |