| NPI | 1619283884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006372) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC006372) |
| 103K00000X Behavior Analyst (Licence: FL 1-09-5235) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2024-10-31 |