| NPI | 1932568177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001235) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP11134) |
| 101YP2500X Counselor, Professional (Licence: MD LGP11134) | |
| 103K00000X Behavior Analyst (Licence: 1-15-20644) | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2021-03-10 |