| NPI | 1609297001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |