| NPI | 1992160972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-24-72416) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2024-04-23 |