| NPI | 1508349788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101Y00000X Counselor | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |