| NPI | 1831679653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-51760) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician (Licence: GA RBT-19-102125) | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2022-04-28 |