| NPI | 1912213612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R11106) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2025-05-12 |