| NPI | 1427476175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH000483) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PCO17648) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2024-10-03 |