| NPI | 1679000624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 21411) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-22-62836) |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2024-10-30 |