| NPI | 1497227565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133003189) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701012987) |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2025-04-07 |