| NPI | 1649514894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2012-11-11 |
| Last Update Date | 2021-07-28 |