| NPI | 1932412608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013521) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-08-4087) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2022-04-21 |