| NPI | 1932481512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-15-17923) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH 8672) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2022-04-07 |