| NPI | 1831494715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 164239) |
| 106H00000X Marriage & Family Therapist (Licence: KY 0870) | |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2018-02-23 |