| NPI | 1023557089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178011859) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2021-06-10 |