| NPI | 1497040232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-40270) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2020-01-06 |