| NPI | 1366932741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL MH14334) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 14334) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |