| NPI | 1902452972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC-0011138) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH004482) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2021-11-03 |