| NPI | 1962967471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2022-06-09 |