| NPI | 1649518267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 11530) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2024-10-07 |