| NPI | 1023349016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5747) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-01-0696) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2016-11-09 |