| NPI | 1639434855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK LPC07528) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YM0800X Counselor, Mental Health (Licence: OK LPC7528) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2024-06-21 |