| NPI | 1114393212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: UT 10673594-2507) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2022-04-12 |