| NPI | 1407864176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IA 00374) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IA 00374) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2011-05-09 |