| NPI | 1205177896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180012409) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH22901) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2024-05-16 |