| NPI | 1770599300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 312980) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-06-10 |