| NPI | 1699108886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK j082439816) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OK j082439816) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |