| NPI | 1033608641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: GA CRC00045792) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-25-419640) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2026-06-14 |