| NPI | 1053668368 |
|---|---|
| Former Name | SOPHIA ARIELLA BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 00234201) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2023-04-12 |