| NPI | 1821378134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC006716) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2024-11-22 |