| NPI | 1417255415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5426) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2022-03-21 |