| NPI | 1740970169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR 1204639) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2024-12-23 |