| NPI | 1699029934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BCBA19-38877) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YM0800X Counselor, Mental Health (Licence: FL MH14818) | |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2020-09-16 |