| NPI | 1124526256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014231) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-15-18309) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |