| NPI | 1992205140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 10010) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV CI0334) |
| 103K00000X Behavior Analyst (Licence: NV CP1269) | |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2021-08-13 |