| NPI | 1538440847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-55809) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH12161) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2023-07-04 |