| NPI | 1659615896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-12-12589) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A10297) |
| Enumeration Date | 2012-11-10 |
| Last Update Date | 2014-04-04 |