| NPI | 1013598614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LAC-17230) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-000740) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2022-10-21 |