| NPI | 1760781439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1808113) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR A1510138) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2018-09-19 |