| NPI | 1710518626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH003393) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |