| NPI | 1235656521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A16830) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA Qasp-s9012) |
| 103K00000X Behavior Analyst (Licence: GA RBT-16-20302) | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2021-12-02 |