| NPI | 1700184199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC012644) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH002986) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2021-06-14 |