| NPI | 1649741646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-21-46964) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician (Licence: NC BACB475185) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2021-01-11 |