| NPI | 1497112932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP6568) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2024-01-05 |