| NPI | 1598195919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 02118) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 02118) |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-21 |