| NPI | 1194906628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-48558) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH6628) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2025-02-11 |