| NPI | 1215356886 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-52330) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2014-04-10 | 
| Last Update Date | 2021-10-05 |