| NPI | 1942471859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-43605) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 14366) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2024-09-05 |