| NPI | 1659611531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |