| NPI | 1699869974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-30868) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8528) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-11-23 |