| NPI | 1013232057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 0-00-0076) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH7446) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2012-01-17 |