| NPI | 1720427701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP1194) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2019-06-29 |