| NPI | 1972838514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 101YM0800X Counselor, Mental Health (Licence: NY 000955) | |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2010-03-15 |