| NPI | 1497920714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002189A) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst (Licence: IN 1-16-23617) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2022-08-19 |