| NPI | 1780699371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 1519) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 163696) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-10-05 |