| NPI | 1881904761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: OK 303586) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2011-08-15 |