| NPI | 1073777322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701004356) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000660) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2024-02-29 |