| NPI | 1639579170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010031) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH002441) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2022-08-31 |