| NPI | 1548659311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006625) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2017-04-05 |