| NPI | 1487279915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD 30598) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2024-12-06 |