| NPI | 1588738819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NH 790) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NH 1-22-60694) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2023-10-11 |