| NPI | 1649762089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: VA 0733008393) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2024-08-28 |