| NPI | 1902461353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10610-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 5271-226) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2023-09-13 |