| NPI | 1952873747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |