| NPI | 1760558670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL MH8708) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8708) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2017-11-21 |