| NPI | 1699081844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001258) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 1-03-1264) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2011-09-09 |