| NPI | 1871066696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 325-140) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2023-02-02 |