| NPI | 1740662444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR 1-15-18963) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C3609) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-07-10 |