| NPI | 1649783598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP11510) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2021-06-29 |