| NPI | 1861775082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-11-8185) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9339) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2012-05-07 |