| NPI | 1083483390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC015293) |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2025-06-18 |