| NPI | 1598090524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-73051) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst (Licence: PA BH007152) | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2024-09-30 |