| NPI | 1568990422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 15518) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701007130) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2018-06-16 |