| NPI | 1306252267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 8966602-6009) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |