| NPI | 1922414275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ BA-0315) |
| 101YM0800X Counselor, Mental Health (Licence: PA BH001558) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2024-10-11 |