| NPI | 1306211362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401018263) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401018263) |
| 103K00000X Behavior Analyst (Licence: MI 6401018263) | |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2020-10-30 |