| NPI | 1881023505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst (Licence: FL 1-24-75419) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2024-09-13 |