| NPI | 1356957328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-44195) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH22566) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2025-06-18 |