| NPI | 1609473107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.016986) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178.016986) | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2022-04-20 |