| NPI | 1881915130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM T-0133301) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-08-03 |