| NPI | 1689971806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004938) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000474) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2015-04-30 |