| NPI | 1366994345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 247200000X Technician, Other | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2020-06-09 |