| NPI | 1730370040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ZZ 1-07-3367) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 1073367) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2011-08-29 |