| NPI | 1710744990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC018907) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH006869) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2025-07-17 |