| NPI | 1740785310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC012784) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1-21-48833) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-04-12 |