NPI | 1730566753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA BH002171) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA bh002171) |
Enumeration Date | 2015-04-28 |
Last Update Date | 2025-05-29 |