| NPI | 1740773258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR 3877197) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2022-03-22 |