| NPI | 1851782189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC008017) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH001655) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |