| NPI | 1578022562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 102L00000X Psychoanalyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |