| NPI | 1598239113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL 9615812) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2023-12-08 |