| NPI | 1326375825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 7595) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1-05-2502) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |