| NPI | 1922102409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-19-35663) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: IL 180007537) | |
| 101YP2500X Counselor, Professional (Licence: MO 2009032566) | |
| 101YP2500X Counselor, Professional (Licence: CA 13837) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2023-10-17 |