| NPI | 1598450157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: PA g9t8f4k3) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: PA 22466) |
| 103K00000X Behavior Analyst (Licence: PA bh007807) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2025-10-03 |