| NPI | 1104120716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180010520) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2023-10-16 |