| NPI | 1962728428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH5009) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2024-07-24 |