| NPI | 1871842054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.012011) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2018-02-08 |