| NPI | 1225323249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-11-8728) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 12165) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2020-08-20 |