| NPI | 1467050161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 11412) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK 20140078) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2025-09-18 |