| NPI | 1366749665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2023-0159) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2023-07-07 |