| NPI | 1023397320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NV C15033) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2021-08-19 |