| NPI | 1083714901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-10-6902) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-04-10 |