| NPI | 1770714180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002081-1) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NY 002081-01) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2023-02-08 |