| NPI | 1255630760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: NV 225400000X) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2013-07-31 |