| NPI | 1073270179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL CBHCMS0102613) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM-P101981) |
| 103K00000X Behavior Analyst (Licence: FL CBHCM-P101981) | |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH29288) | |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2026-05-27 |