| NPI | 1508171893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008356) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2019-06-24 |