| NPI | 1255689584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-17-27682) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2019-08-08 |