| NPI | 1407241466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR 1-15-18643) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C3602) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-07-06 |