| NPI | 1396346664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014787) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC008555) |
| 103K00000X Behavior Analyst (Licence: GA RBT-20-142134) | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2024-06-17 |