| NPI | 1689418220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-59235) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 23102) |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-07-18 |