| NPI | 1043851603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8716) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 319-140) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2026-07-26 |