| NPI | 1811168172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NM 1-03-1109) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: CERT#1-03-1109 BCBA) | |
| 225700000X Massage Therapist (Licence: NM 6162) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2020-11-09 |