| NPI | 1093053332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-13-13197) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 11358) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-09-04 |