| NPI | 1750984167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2022-07-26 |