| NPI | 1326614140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP141910) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-03-11 |