| NPI | 1467793935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-33141) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH13886) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2024-08-01 |