| NPI | 1205241783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH000789) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC007096) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |