| NPI | 1154867380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LGP8704) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD 1-18-33609) |
| 106S00000X Behavior Technician (Licence: 0000000000000) | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2024-04-15 |