| NPI | 1316432461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 11671-125) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2025-07-22 |