| NPI | 1669557765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-05-2443) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 99) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-01-25 |