| NPI | 1528652211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 5865) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 1141) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2024-12-16 |