| NPI | 1497102248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-42759) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15544) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2020-07-05 |