| NPI | 1831314483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8694) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2019-07-17 |