| NPI | 1164024311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School | |
| 102L00000X Psychoanalyst | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2020-11-12 |