| NPI | 1881954824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-54866) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH 12298) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2022-04-08 |