| NPI | 1861813727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 116296) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 180061042) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2020-05-18 |