| NPI | 1265632780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL SW10205) |
| 101Y00000X Counselor | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2025-10-13 |