| NPI | 1811203060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CI0051) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2019-09-19 |