| NPI | 1679880249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 39346) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 39346) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |