| NPI | 1720503873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YM0800X Counselor Mental Health | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2021-01-28 |