| NPI | 1558958884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 444) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 549) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |