| NPI | 1316267073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM tctl0211691) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2023-09-14 |