| NPI | 1013083641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 848) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 1062795) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2018-04-21 |