| NPI | 1427773456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AR A2307008) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AR RBT-21-184577) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2024-05-16 |