| NPI | 1225464779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 133N00000X Nutritionist | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-10-04 |