| NPI | 1134548118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-15-18704) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39002910A) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2017-04-18 |