| NPI | 1285938373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8296) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: MD LGP6207) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2018-11-28 |