| NPI | 1093222168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 27103) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2020-02-12 |