| NPI | 1922378918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-11-9649) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 1-11-9649) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2013-10-08 |