| NPI | 1326714999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015582) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2025-03-26 |