| NPI | 1902275472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV CI692) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2020-10-19 |