| NPI | 1083086458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |