| NPI | 1316273394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7487) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 622) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-12-03 |