| NPI | 1235723024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| 101Y00000X Counselor | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |