| NPI | 1477062248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID LPC-6531) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor School | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |