| NPI | 1154730943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 008593) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY P92186) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2021-02-23 |