| NPI | 1154679702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-11-9305) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 847) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2017-04-10 |