| NPI | 1467872655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007571) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH000261) |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2014-08-27 |