| NPI | 1407272545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-13-14290) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-13-14290) |
| 101YM0800X Counselor, Mental Health (Licence: FL 14318) | |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2023-05-05 |