| NPI | 1790021640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0016376) |
| 101YM0800X Counselor, Mental Health (Licence: HI MHC-655) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2023-01-30 |