| NPI | 1801609995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-25-78996) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC010143) |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-01-31 |