| NPI | 1336642073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR B-10219070) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician (Licence: CA 17-32395) | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2023-07-17 |