| NPI | 1396995387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MT2396) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2021-08-05 |