| NPI | 1558999771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133002624) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701008991) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2023-03-08 |