| NPI | 1962885657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2021-01-07 |