| NPI | 1629597687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 04966-T) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2025-03-04 |