| NPI | 1942491527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC004959) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA 4310) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2009-04-01 |