| NPI | 1346519931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-9941) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0019934) |
| 101YM0800X Counselor, Mental Health (Licence: WI 10663-125) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH22655) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2024-05-02 |