| NPI | 1538460068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |