| NPI | 1811548688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-18-68032) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2023-02-09 |