| NPI | 1801042825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1010478) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH5878) |
| Enumeration Date | 2008-08-10 |
| Last Update Date | 2018-07-30 |