| NPI | 1144528787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA CDP0009) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA CADCII 497) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2015-03-30 |