| NPI | 1972973493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH28067) |
| Enumeration Date | 2015-09-26 |
| Last Update Date | 2026-07-13 |