| NPI | 1326639816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP14061) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2024-03-19 |