| NPI | 1851934251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 268793) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2024-04-18 |