| NPI | 1699029934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BCBA19-38877) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14818) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2025-08-27 |