| NPI | 1639554603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC011592) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH002734) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2019-07-30 |