| NPI | 1306082011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00395) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-07-3317) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |