| NPI | 1063806297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11480) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A11480) |
| 171M00000X Case Manager/Care Coordinator (Licence: NC A11480) | |
| 101YP2500X Counselor, Professional (Licence: NC A11480) | |
| 103K00000X Behavior Analyst (Licence: NC A11480) | |
| 251B00000X Case Management (Licence: NC 11480) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2018-03-17 |