| NPI | 1831672526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-18-30190) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 310) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2025-07-04 |