| NPI | 1811258056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-19836) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst (Licence: PA BH003492) | |
| 104100000X Social Worker | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2021-03-19 |