| NPI | 1760892012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC011443) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC011443) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2021-02-24 |