| NPI | 1588103766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 13077) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS RBT-16-15776) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2022-08-09 |