| NPI | 1073944617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 11726175) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS K02709835) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2023-08-01 |