| NPI | 1750703039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.010853) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2019-10-15 |