| NPI | 1174828586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV MI0302) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2018-03-17 |