| NPI | 1003166158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA 012984) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YP2500X Counselor Professional (Licence: TX 78349) | |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2022-09-09 |