| NPI | 1912428780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP1600X Counselor Pastoral (Licence: NC 26040102) | |
| 101YS0200X Counselor School | |
| 103K00000X Behavior Analyst | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-07-03 |