| NPI | 1861918393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-41535) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15245) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2023-09-01 |