| NPI | 1710348719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2024-09-16 |