| NPI | 1205333283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL 3854) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AL 2019-033) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2022-08-23 |