| NPI | 1780028605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251B00000X Case Management |
| 103TR0400X Psychologist, Rehabilitation | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-26 |