| NPI | 1659651958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CI5397) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2024-05-13 |