| NPI | 1053886853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2022-07-15 |