| NPI | 1891225645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-21984) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2023-06-12 |