| NPI | 1427135581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1-12-11782) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CT 001342) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-03-06 |