| NPI | 1265753313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1000143) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 0062) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2017-06-27 |