| NPI | 1164915229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC018656) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-18-56633) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2025-06-02 |