| NPI | 1487965380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM CCMH0208321) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2021-07-19 |