| NPI | 1841209004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000462) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000748-1) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-07-20 |