| NPI | 1447410212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-05-2210) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 1-05-2210) |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2021-01-29 |