| NPI | 1215332424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-10-7103) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14168) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH 14168) | |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2022-02-22 |