| NPI | 1508259458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-45993) |
| Additional Taxonomies | 101Y00000X Counselor |
| 174400000X Specialist | |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2021-02-02 |