| NPI | 1689813958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-07-3418) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10600) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2024-06-11 |