| NPI | 1003352279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21981) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2023-03-21 |