| NPI | 1033598099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC P008697) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NC P008697) |
| 103K00000X Behavior Analyst (Licence: NC P008697) | |
| Enumeration Date | 2015-05-23 |
| Last Update Date | 2015-05-23 |