| NPI | 1548766819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7244) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC 17-32172) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2021-09-30 |