| NPI | 1851749303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC012658) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH002600) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2020-12-08 |