| NPI | 1720348493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007330) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2014-12-23 |