| NPI | 1790320224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PR TPC-III-11-48-7057) |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |