| NPI | 1952844631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2018-03-06 |