| NPI | 1528417987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-42235) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MH-14914) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-06-20 |