| NPI | 1326463043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007903) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-14-9631) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2020-05-06 |