| NPI | 1497761480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-40527) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH7263) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH10659) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-11-14 |