| NPI | 1467726976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 1-12-1018) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 5171-125) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2025-01-28 |