| NPI | 1225345176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004736) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-10-7338) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2017-03-08 |