| NPI | 1396110888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH001248) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2018-03-05 |