| NPI | 1013368836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 247200000X | |
| 101Y00000X Counselor | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2021-06-24 |