| NPI | 1770259889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC017607) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC01128500) |
| 106S00000X Behavior Technician (Licence: PA RBT-21-177164) | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2025-08-18 |