| NPI | 1053951483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA D7836599) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2022-04-08 |