| NPI | 1245551225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 16649) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YM0800X Counselor, Mental Health (Licence: AZ 16649) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2024-05-01 |