| NPI | 1902493315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA APC010211) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-20-149544) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2025-02-19 |