NPI | 1013416916 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC013728) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-02-06 |
Last Update Date | 2022-02-12 |