| NPI | 1295210110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014506) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: GA 01-18-8916) |
| 225C00000X Rehabilitation Counselor (Licence: GA 445974) | |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2024-03-01 |