| NPI | 1528515251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 103TS0200X Psychologist, School (Licence: FL SS1114) | |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2016-09-11 |