| NPI | 1831600659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |