| NPI | 1962882860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR ABA-B-10191598) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14-00235) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2020-08-21 |