| NPI | 1962782862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12854) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-17-24973) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2018-04-02 |