| NPI | 1629595558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 9066) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-07-21 |