| NPI | 1447671029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-135) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: LA AN536284) |
| 101YP2500X Counselor, Professional (Licence: LA CI-5806) | |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2025-10-13 |