| NPI | 1548605165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL IMH8641) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL IMH8641) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |