| NPI | 1043573827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 06820) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2021-10-01 |