| NPI | 1699413070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH s.2309301) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2024-04-09 |