| NPI | 1477709939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 6374) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 6374) |
| 101Y00000X Counselor (Licence: CO 6374) | |
| 103K00000X Behavior Analyst (Licence: CO 6374) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2012-08-15 |