| NPI | 1225487564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: MS 190001A) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-07-02 |