| NPI | 1487980553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-10-7271) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3915) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2021-03-04 |