| NPI | 1629118997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-14-9449) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701003037) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2023-05-23 |