| NPI | 1083072722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 663) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 663) |
| 101YS0200X Counselor, School (Licence: CA 130139844) | |
| 103K00000X Behavior Analyst (Licence: CA 663) | |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |