| NPI | 1689846941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-08-4584) |
| Additional Taxonomies | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| 101YP2500X Counselor Professional (Licence: 1-08-4584) | |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2014-11-25 |