| NPI | 1134472863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR STB-T-10130007) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR STB-T-10130007) |
| 101YM0800X Counselor, Mental Health (Licence: OR STB-T-10130007) | |
| 103K00000X Behavior Analyst (Licence: OR STB-T-100130007) | |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |