| NPI | 1619310794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 133NN1002X Nutritionist Nutrition, Education | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |