| NPI | 1679893275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0138111) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YM0800X Counselor, Mental Health (Licence: NM T-0134721) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2014-07-07 |