| NPI | 1811313349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CI2840) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2020-07-23 |