| NPI | 1225513260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 18-63145) |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2025-02-13 |