| NPI | 1336306828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103K00000X Behavior Analyst (Licence: MA 313462) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2010-08-31 |