| NPI | 1184833956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2007008766) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2011023304) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2012-05-01 |