| NPI | 1699250712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: DE 1-22-58600) |
| 106S00000X Behavior Technician (Licence: DE RBT-18-49314) | |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2023-08-18 |