| NPI | 1568834471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AR A1706228) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1706228) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2019-12-09 |