| NPI | 1326324245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL MH8968) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 8968) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2026-03-24 |