| NPI | 1023375045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2012010600) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2010007552) |
| Enumeration Date | 2012-04-15 |
| Last Update Date | 2012-04-15 |