| NPI | 1831687722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10099-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4932-226) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2023-11-16 |