| NPI | 1265987929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 022463) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-14-17594) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2023-11-16 |