| NPI | 1356609630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 103K00000X Behavior Analyst (Licence: FL 0041330) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2014-10-15 |