| NPI | 1538364336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA141) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD 1-01-0645) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2021-08-25 |