| NPI | 1497040968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 5025) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 1065) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2022-04-28 |