| NPI | 1205488939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 229449) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2025-03-18 |