| NPI | 1700125721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 286800367) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 286800367) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |