| NPI | 1598192353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 004129260) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2014-03-19 |