| NPI | 1376008938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701015070) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2025-08-08 |