| NPI | 1306444732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CI5016) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2023-03-01 |