| NPI | 1538676622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-03-17 |