| NPI | 1437526522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0203921) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2021-03-24 |