| NPI | 1235422072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19439) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2023-02-10 |