| NPI | 1720671415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL MH18816) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH18816) |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2025-02-17 |