| NPI | 1598158305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12041417) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15357) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2020-03-12 |