| NPI | 1568978310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011138) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 194) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2022-09-21 |