| NPI | 1689271975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC019718) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BACB1-21-56549) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2026-01-19 |