| NPI | 1760906945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 3856) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 1-16-21930) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2022-07-21 |