| NPI | 1598833774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VT 0680000656) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VT 00000000000000) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-07-13 |