| NPI | 1639596174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000410) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2021-04-30 |