| NPI | 1366899569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-402) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI 15-03853) |
| 101YM0800X Counselor, Mental Health (Licence: HI MHC-606) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2020-06-01 |