| NPI | 1487078432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009639) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH000656) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2022-01-27 |