| NPI | 1073747085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 164W00000X Licensed Practical Nurse (Licence: PA PN273140) | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2024-01-28 |