| NPI | 1568011245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-49495) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC011609) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2024-12-11 |