| NPI | 1427727270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY PPC-1398) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-21-178807) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2023-07-05 |