| NPI | 1215434659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 227) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: HI MHC-845) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2023-12-12 |