| NPI | 1427373992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BA-84) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ LPC-13259) |
| 101YS0200X Counselor School (Licence: AZ 3897179) | |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2013-08-02 |