| NPI | 1073871257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0108067) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2019-04-08 |