| NPI | 1932503778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16455) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2018-11-06 |