| NPI | 1528709730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA APC009356) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-22-209655) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-10-26 |