| NPI | 1922402049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0016514) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2020-12-04 |