| NPI | 1487829537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0800108) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0800108) |
| 101YP2500X Counselor, Professional (Licence: PA PC004805) | |
| 103K00000X Behavior Analyst (Licence: PA 1-10-7774) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2018-10-19 |