| NPI | 1700135621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 101YM0800X Counselor, Mental Health (Licence: FL mh12940) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2024-04-19 |