| NPI | 1326337080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2610) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2014-08-13 |