| NPI | 1891220059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH004342) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC012967) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2025-08-20 |