| NPI | 1972880136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst (Licence: 1-17-25975) | |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2025-01-02 |