| NPI | 1750776399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR 1-15-19747) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C3571) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2021-02-23 |