| NPI | 1457962714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |