| NPI | 1336418300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-13-13681) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH12953) |
| 103T00000X Psychologist (Licence: FL PY10634) | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2024-01-19 |