| NPI | 1235684903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL MH13905) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH13905) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2022-03-17 |