| NPI | 1699030916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 11272) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 11272) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2025-06-12 |