| NPI | 1114271202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9387) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-15-18584) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2023-02-09 |