| NPI | 1013419787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2023-07-19 |