| NPI | 1770249864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7780-226) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2024-02-02 |