| NPI | 1366924243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10023-125) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WI 1858833) |
| 106S00000X Behavior Technician (Licence: WI RBT-18-58833) | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2023-11-16 |