| NPI | 1679017545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015594) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-17-26409) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2019-07-29 |