| NPI | 1760754303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY CPAT 0132) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 1107352) |
| Enumeration Date | 2012-01-28 |
| Last Update Date | 2015-02-06 |