| NPI | 1730418336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020031649) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC012254) |
| 103K00000X Behavior Analyst (Licence: PA BH002340) | |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2021-07-21 |