| NPI | 1669996849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010418) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH003350) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2024-12-17 |