| NPI | 1275064271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20849) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-20-42165) |
| 101YM0800X Counselor, Mental Health (Licence: FL 20849) | |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-9558) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-07-18 |