| NPI | 1003207200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 223-140) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3855-125) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2019-01-14 |