| NPI | 1245480029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 171W00000X Contractor |
| 101YM0800X Counselor, Mental Health (Licence: FL MH16660) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2025-09-26 |