| NPI | 1356698427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17825) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2022-04-07 |