| NPI | 1174853022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: FL 408078-4) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 408078-4) |
| 103K00000X Behavior Analyst (Licence: FL 408078-4) | |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |