| NPI | 1215348586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 13622) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2025-07-08 |