| NPI | 1336530294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 103K00000X Behavior Analyst (Licence: PA BH001889) | |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-17 |