| NPI | 1649529595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL MT3390) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MT3390) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2022-07-21 |