| NPI | 1982934360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-51101) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH13127) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2021-07-28 |