| NPI | 1164956595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0216441) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2021-08-20 |