| NPI | 1508192139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 101yp2500x) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 101y00000x) |
| 103K00000X Behavior Analyst (Licence: VA 103k00000x) | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |