| NPI | 1033468350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11783) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-14-16970) |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst (Licence: CA 1-14-16970) | |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2024-05-08 |