| NPI | 1922396217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC004199) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1096667) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2024-08-12 |