| NPI | 1215176946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-09-5591) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 11831) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2020-04-20 |