| NPI | 1821078106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-01-0625) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2005) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2012-10-31 |