| NPI | 1740505734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH000092) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-08-4739) |
| 103K00000X Behavior Analyst (Licence: FL 1-08-4739) | |
| 103K00000X Behavior Analyst | |
| 106H00000X Marriage & Family Therapist (Licence: FL MT 2385) | |
| 106H00000X Marriage & Family Therapist (Licence: PA MF000684) | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2021-08-11 |