| NPI | 1609427491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8212) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2204331) |
| 101Y00000X Counselor | |
| 103K00000X Behavior Analyst (Licence: KY RBT-19-99537) | |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2023-03-20 |