| NPI | 1790239556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-49910) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst (Licence: MI 7401001502) | |
| 247200000X Technician, Other | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2024-02-01 |