| NPI | 1871114041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 257) |
| 1041C0700X Social Worker, Clinical (Licence: CT 064952) | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |