| NPI | 1013204098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-16-23862) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013852) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2018-07-13 |