| NPI | 1720435431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2004014918) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2016038827) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2018-11-14 |