| NPI | 1699077859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-09-5569) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.007720) |
| Enumeration Date | 2010-11-21 |
| Last Update Date | 2010-11-21 |