| NPI | 1265098503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 247200000X Technician, Other | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-06-24 |