| NPI | 1962982884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010245) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH002801) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2019-03-05 |