| NPI | 1609182260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 0005337) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-16-21940) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2019-09-17 |