| NPI | 1235880832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A18887) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2023-07-10 |