| NPI | 1598251290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 222Q00000X Developmental Therapist | |
| 251B00000X Case Management | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2019-01-17 |