| NPI | 1972961548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC008186) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: PA PC008186) |
| 103K00000X Behavior Analyst (Licence: PA PC008186) | |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |