| NPI | 1558750927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-46612) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 1339346) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2020-12-22 |