| NPI | 1801408323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA APC008829) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2024-04-24 |