| NPI | 1205935459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-9642) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9496) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-11-05 |