| 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 |