| NPI | 1063060879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 1723764) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1-19-35925) |
| 225400000X Rehabilitation Practitioner (Licence: GA 586458) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-04-19 |