| NPI | 1053636860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA APC002550) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC002550) |
| 103TC1900X Psychologist, Counseling (Licence: GA APC002550) | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |