| NPI | 1215305115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008174) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH000192) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |