| NPI | 1902270853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015376) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2019-05-02 |