| NPI | 1225495302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 005899825) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2025-06-02 |