| NPI | 1013245893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 10245) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0041234) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2018-09-07 |