| NPI | 1215281928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 2205) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10914) |
| 101YM0800X Counselor, Mental Health (Licence: NE 5254) | |
| 103K00000X Behavior Analyst (Licence: TX 1-12-12165) | |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2022-01-06 |