| NPI | 1912325408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NV CI5192) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV CABI00086) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2022-11-15 |