| NPI | 1225494842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC013509) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH001464) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2021-07-20 |