| NPI | 1760614713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH6790) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2022-09-29 |