| NPI | 1851529416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3662) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD 1095100) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2014-06-25 |