| NPI | 1194614032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH005327) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: PA 1509035) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |