| NPI | 1295553097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA BACB1051570) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker | |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |