| NPI | 1073820692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 101y00000x) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: SC 103K00000x) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |