| NPI | 1205224375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0015661) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0107397) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2021-07-28 |