| NPI | 1366887150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC007290) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2014-06-02 |