| NPI | 1821632704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC013214) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 103K00000X Behavior Analyst (Licence: PA BH004558) | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2021-04-27 |