| NPI | 1912397241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC017419) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC01117200) |
| 103K00000X Behavior Analyst (Licence: PA BH001067) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2025-07-11 |